Individual
MRS. JENNA LYNN BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2022 BROOKWOOD MEDICAL CTR DR, SUITE 510, BIRMINGHAM, AL 35209-6808
(205) 250-6000
(205) 250-6848
Mailing address
PO BOX 830230, BIRMINGHAM, AL 35283-0230
(205) 250-6000
(205) 250-6848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-128780
AL
Other
Enumeration date
01/06/2014
Last updated
03/20/2015
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